| Doctor Name: | DR. DENISE DYANN GONZALES |
| NPI Number: | 1053437244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD. |
| License Number: | PSY19182 |
| Business Practice Address: | 2095 W Vista Way Suite #216 Vista, CA - 920836027 |
| Business Phone Number: | 7606599042 |
| Business Fax Number: | 7606390110 |
| Mailing Address: | 2095 W Vista Way, Suite #216 VISTA |
| State: | CA |
| Postal Code: | 920836027 |
| Phone Number: | 7606599042 |
| Fax Number: | 7606390110 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY19182 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |